Individual
MS. KAYLA PAIGE GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, NCC
Contact information
Practice address
56 E BROADWAY ST APT 3B, BUTTE, MT 59701-9360
(304) 543-1567
Mailing address
56 E BROADWAY ST APT 3B, BUTTE, MT 59701-9360
(304) 543-1567
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-47182
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BBH-LCPC-LIC-47182
—
MT
Enumeration date
12/24/2020
Last updated
12/24/2020
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